Global School-based Student Health Survey (GSHS)
2008 Nauru
GSHS Questionnaire
For more information:
www.cdc.gov/gshs or
www.who.int/chp/gshs/en/
2008 NAURU GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY
This survey is about your health and the things you do that may affect your health.
Students like you all over your country are doing this survey. Students in many other
countries around the world also are doing this survey. The information you give will be
used to develop better health programs for young people like yourself.
DO NOT write your name on this survey or the answer sheet. The answers you give
will be kept private. No one will know how you answer. Answer the questions based on
what you really know or do. There are no right or wrong answers.
Completing the survey is voluntary. Your grade or mark in this class will not be affected
whether or not you answer the questions. If you do not want to answer a question, just
leave it blank.
Make sure to read every question. Fill in the circles on your answer sheet that match
your answer. Use only the pencil you are given. When you are done, do what the
person who is giving you the survey says to do.
Here is an example of how to fill in the circles:
Fill in the circles like this
Not like this
or
Survey
1. Do fish live in water?
A. Yes
B. No
Answer sheet
1.
A
B
C
D
E
F
G
H
Thank you very much for your help.
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
2
1.
How old are you?
The next 3 questions ask about your height,
weight, and going hungry.
2.
A.
11 years old or younger
B.
12 years old
4.
How tall are you without your shoes on? ON
C. 13 years old
THE ANSWER SHEET, WRITE YOUR HEIGHT
D. 14 years old
IN THE SHADED BOXES AT THE TOP OF THE
E.
15 years old
GRID. THEN FILL IN THE OVAL BELOW EACH
F.
16 years old or older
NUMBER.
Example
What is your sex?
Height (cm)
3.
A.
Male
B.
Female
1
0
5
3
0
0
1
1
2
2
In what grade are you?
2
A.
Grade 7
3
B.
Grade 8
4
C. Grade 9
5
D. Grade 10
E.
Grade 11
F.
Grade 12
4
9
6
6
7
7
8
8
9
9
I do not know
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
1
5. How much do you weigh without your shoes on?
ON THE ANSWER SHEET, WRITE YOUR
The next 2 questions ask about foods you might
eat.
WEIGHT IN THE SHADED BOXES AT THE TOP
OF THE GRID. THEN FILL IN THE OVAL
7.
During the past 30 days, how many times per day
did you usually eat fruit, such as mango,
BELOW EACH NUMBER.
pandanus, sour sop, apple, banana, or oranges?
Example
Weight (kg)
0
5
2
0
0
1
1
1
2
2
3
3
4
4
5
A.
I did not eat fruit during the past 30 days
B.
Less than one time per day
C. 1 time per day
D. 2 times per day
E.
3 times per day
F.
4 times per day
G. 5 or more times per day
8.
During the past 30 days, how many times per day
6
6
did you usually eat vegetables, such as bele,
7
7
cabbage, water cress, or green leafy vegetables?
8
8
9
9
A.
I did not eat vegetables during the past 30
B.
Less than one time per day
days
9
I do not know
C. 1 time per day
D. 2 times per day
6.
During the past 30 days, how often did you go
E.
3 times per day
hungry because there was not enough food in
F.
4 times per day
your home?
G. 5 or more times per day
A.
Never
The next 4 questions ask about personal health
B.
Rarely
activities.
C. Sometimes
D. Most of the time
E.
Always
9. During the past 30 days, how many times per day
did you usually clean or brush your teeth?
A.
I did not clean or brush my teeth during the
B.
Less than 1 time per day
past 30 days
C. 1 time per day
D. 2 times per day
E.
3 times per day
F.
4 or more times per day
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
2
10. During the past 30 days, how often did you wash
14. Have you ever been physically forced to have
your hands before eating?
sexual intercourse when you did not want to?
A.
Never
A.
Yes
B.
Rarely
B.
No
C. Sometimes
D.
Most of the time
E.
Always
15. During this school year, were you taught in any
of your classes what to do if someone is trying to
force you to have sexual intercourse?
11. During the past 30 days, how often did you wash
your hands after using the toilet or latrine?
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
A.
Yes
B.
No
C. I do not know
The next question asks about verbal abuse.
16. During the past 12 months, how many times
were you verbally abused by a teacher?
12. During the past 30 days, how often did you use
soap when washing your hands?
A.
0 times
B.
1 time
A.
Never
C. 2 or 3 times
B.
Rarely
D. 4 or 5 times
C. Sometimes
E.
6 or 7 times
D.
Most of the time
F.
8 or 9 times
E.
Always
G. 10 or 11 times
The next 3 questions ask about physical attacks.
H. 12 or more times
A physical attack occurs when one or more
people hit or strike someone, or when one or
more people hurt another person with a weapon
(such as a stick, knife, or gun). It is not a physical
attack when two students of about the same
strength or power choose to fight each other.
13. During the past 12 months, how many times were
you physically attacked?
A.
0 times
B.
1 time
C. 2 or 3 times
D. 4 or 5 times
E.
6 or 7 times
F.
8 or 9 times
The next question asks about feeling safe on the
way to and from school.
17. During the past 30 days, on how many days did
you not go to school because you felt you would
be unsafe at school or on your way to or from
school?
A.
0 days
B.
1 day
C. 2 or 3 days
D. 4 or 5 day
E.
6 or more days
G. 10 or 11 times
H. 12 or more times
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
3
The next question asks about stolen or damaged
property.
The next 5 questions ask about the most serious
injury that happened to you during the past 12
months. An injury is serious when it makes you
18. During the past 30 days, how many times has
miss at least one full day of usual activities (such
someone stolen or deliberately damaged your
as school, sports, or a job) or requires treatment
property, such as your car, clothing, or books, on
by a doctor or nurse.
school property?
21. During the past 12 months, how many times were
A.
0 times
B.
1 time
you seriously injured?
C. 2 or 3 times
A.
0 times
D. 4 or 5 times
B.
1 time
E.
6 or 7 times
C. 2 or 3 times
F.
8 or 9 times
D. 4 or 5 times
G. 10 or 11 times
E.
6 or 7 times
H. 12 or more times
F.
8 or 9 times
G. 10 or 11 times
The next 2 questions ask about physical fights. A
H. 12 or more times
physical fight occurs when two or more students
of about the same strength or power choose to
fight each other.
22. During the past 12 months, what were you
doing when the most serious injury happened to
you?
19. During the past 12 months, how many times were
you in a physical fight?
A.
I was not seriously injured during the past 12
months
A.
0 times
B.
B.
1 time
C. Walking or running, but not as part of playing
C. 2 or 3 times
Playing or training for a sport
or training for a sport
D. 4 or 5 times
D. Riding a bicycle or scooter
E.
6 or 7 times
E.
F.
8 or 9 times
G. 10 or 11 times
H. 12 or more times
Riding or driving in a car or other motor
vehicle
F.
Doing any paid or unpaid work, including
housework, yard work, or cooking
G. Nothing
20. During the past 12 months, how many times
H. Something else
were you in a physical fight in which you were
injured and had to be treated by a doctor or
nurse?
A.
0 times
B.
1 time
C. 2 or 3 times
D. 4 or 5 times
E.
6 or more times
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
4
23. During the past 12 months, what was the major
The next 2 questions ask about bullying. Bullying
cause of the most serious injury that happened
occurs when a student or group of students say
to you?
or do bad and unpleasant things to another
student. It is also bullying when a student is
A.
I was not seriously injured during the past 12
teased a lot in an unpleasant way or when a
months
student is left out of things on purpose. It is not
B.
I was in a motor vehicle accident or hit by a
bullying when two students of about the same
motor vehicle
strength or power argue or fight or when teasing
C. I fell
is done in a friendly and fun way.
D. Something fell on me or hit me
E.
F.
I was fighting with someone
I was attacked, assaulted, or abused by
26. During the past 30 days, on how many days were
you bullied?
someone
G. I was in a fire or too near a flame or
something hot
H. Something else caused my injury
A.
0 days
B.
1 or 2 days
C. 3 to 5 days
D. 6 to 9 days
24. During the past 12 months, how did the most
serious injury happen to you?
E.
10 to 19 days
F.
20 to 29 days
G. All 30 days
A.
I was not seriously injured during the past 12
B.
I hurt myself by accident
months
27. During the past 30 days, how were you bullied
most often?
C. Someone else hurt me by accident
D.
I hurt myself on purpose
A.
I was not bullied during the past 30 days
E.
Someone else hurt me on purpose
B.
I was hit, kicked, pushed, shoved around, or
locked indoors
25. During the past 12 months, what was the most
C. I was made fun of because of my race or
color
serious injury that happened to you?
D. I was made fun of because of my religion
A.
I was not seriously injured during the past 12
E.
comments, or gestures
months
B.
I had a broken bone or a dislocated joint
C. I had a cut, puncture, or stab wound
D. I had a concussion or other head or neck
injury, was knocked out, or could not breathe
E.
I had a gunshot wound
F.
I had a bad burn
I was made fun of with sexual jokes,
F.
I was left out of activities on purpose or
completely ignored
G. I was made fun of because of how my body
or face looks
H. I was bullied in some other way
G. I lost all or part of a foot, leg, hand, or arm
H. Something else happened to me
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
5
The next 3 questions ask about riding in cars or
The next question asks about learning first aid.
other motor vehicles.
32. During this school year, were you taught in any
28. During the past 30 days, how often did you ride
in a car or other motor vehicle driven by
of your classes first aid skills in case of an injury
to yourself or someone else?
someone who had been drinking alcohol?
A.
Yes
No
A.
0 times
B.
B.
1 time
C. I do not know
C. 2 or 3 times
D. 4 or 5 times
The next 6 questions ask about your feelings and
E.
friendships.
6 or more times
29. During the past 30 days, how many times did
you drive a car or other motor vehicle when you
33. During the past 12 months, how often have you
felt lonely?
had been drinking alcohol?
A.
Never
Rarely
A.
0 times
B.
B.
1 time
C. Sometimes
C. 2 or 3 times
D.
Most of the time
D. 4 or 5 times
E.
Always
E.
6 or more times
34. During the past 12 months, how often have you
30. During this school year, were you taught in any
of your classes how to avoid or prevent motor
been so worried about something that you could
not sleep at night?
vehicle accidents?
A.
Never
A.
Yes
B.
Rarely
B.
No
C. Sometimes
C. I do not know
D.
Most of the time
E.
Always
The next question asks about helmet use.
35. During the past 12 months, did you ever feel so
31. Do you think a helmet should be worn when
riding a bicycle or motorcycle?
sad or hopeless almost every day for two weeks
or more in a row that you stopped doing your
usual activities?
A.
Yes
B.
No
A.
Yes
B.
No
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
6
36. During the past 12 months, did you ever
41. During the past 30 days, on how many days did
seriously consider attempting suicide?
you use any other form of tobacco?
A.
Yes
A.
0 days
B.
No
B.
1 or 2 days
C. 3 to 5 days
37. During the past 12 months, did you make a plan
about how you would attempt suicide?
A.
Yes
B.
No
D. 6 to 9 days
E.
10 to 19 days
F.
20 to 29 days
G. All 30 days
42. During the past 30 days, on the days you
38. How many close friends do you have?
smoked, how many cigarettes did you usually
smoke?
A.
0
B.
1
A.
D. 3 or more
I did not smoke cigarettes during the past 30
days
C. 2
B.
Less than 1 cigarette per day
C. 1 cigarette per day
The next 10 questions ask about cigarette and
D. 2 to 5 cigarettes per day
other tobacco use.
E.
6 to 10 cigarettes per day
F.
11 to 20 cigarettes per day
39. How old were you when you first tried a cigarette?
A.
I have never smoked cigarettes
B.
7 years old or younger
G. More than 20 cigarettes per day
43. During the past 30 days, how much do you think
you spent on cigarettes?
C. 8 or 9 years old
D. 10 or 11 years old
E.
12 or 13 years old
F.
14 or 15 years old
G. 16 years old or older
40. During the past 30 days, on how many days did
a.
I did not buy cigarettes during the past 30
days
b.
Less then $1.00
c.
$1.00 to $2.00
d.
$2.00 to $5.00
e.
More than $5.00
you smoke cigarettes?
44. How long ago did you stop smoking?
A.
0 days
B.
1 or 2 days
A.
I have never smoked cigarettes
C. 3 to 5 days
B.
I have not stopped smoking cigarettes
D. 6 to 9 days
C. 1 to 3 months ago
E.
10 to 19 days
D. 4 to 11 months ago
F.
20 to 29 days
E.
1 year ago
F.
2 years ago
G. All 30 days
G. 3 or more years ago
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
7
45. During the past 12 months, have you ever tried to
stop smoking cigarettes?
The next 14 questions ask about drinking alcohol.
This includes drinking beer, spirits, home brew, or
moonshine. Drinking alcohol does not include
A.
I have never smoked cigarettes
B.
I did not smoke cigarettes during the past 12
months
C. Yes
drinking a few sips of wine for religious purposes.
49. How old were you when you had your first drink
of alcohol other than a few sips?
D. No
A.
people smoked in your presence?
I have never had a drink of alcohol other
than a few sips
46. During the past 7 days, on how many days have
B.
7 years old or younger
C. 8 or 9 years old
A.
0 days
D. 10 or 11 years old
B.
1 or 2 days
E.
12 or 13 years old
C. 3 or 4 days
F.
14 or 15 years old
D. 5 or 6 days
G. 16 years old or older
E.
All 7 days
50. During the past 30 days, on how many days did
47. Which of your parents or guardians use any form
you have at least one drink containing alcohol?
of tobacco?
A.
0 days
A.
Neither
B.
1 or 2 days
B.
My father or male guardian
C. 3 to 5 days
C. My mother or female guardian
D. 6 to 9 days
D. Both
E.
10 to 19 days
E.
F.
20 to 29 days
I do not know
G. All 30 days
48. Has anyone in your family or at school discussed
the harmful effects of smoking with you?
51. During the past 30 days, how many times did you
drink grog?
A.
Yes
B.
No
A.
0 times
B.
1 or 2 times
C. 3 to 9 times
D. 10 or more times
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
8
52. During the past 30 days, on the days you drank
alcohol, how many drinks did you usually drink
56. What is the most number of drinks you have had
on one occasion?
per day?
A.
I do not drink alcohol
A.
I did not drink alcohol during the past 30
B.
Less than one drink
days
C. 2 drinks
B.
Less than one drink
D. 3 drinks
C. 1 drink
E.
4 drinks
D.
2 drinks
F.
5 or more drinks
E.
3 drinks
F.
4 drinks
G. 5 or more drinks
57. How difficult do you think it would be for you to
get alcohol, such as moonshine, ebeda, or
dogogiyok if you wanted to?
53. During the past 30 days, how did you usually get
the alcohol you drank? SELECT ONLY ONE
A. Impossible
RESPONSE.
B. Very difficult
C. Fairly difficult
A.
B.
I did not drink alcohol during the past 30
D. Fairly easy
days
E. Very easy
I bought it in a store, shop, or from a street
F. I do not know
vendor
C. I gave someone else money to buy it for me
58. During your life, how many times have you ever
D.
I got it from my friends
had a hang-over, felt sick, got into trouble with
E.
I got it from home
your family or friends, missed school, or got into
F.
I stole it
fights, as a result of drinking alcohol?
G. I got it some other way
54. Do your parents or guardians know that you drink
alcohol?
A.
0 times
B.
1 or 2 times
C. 3 to 9 times
D. 10 or more times
A.
I do not drink alcohol
B.
Yes
C. No
59. Do any members of your immediate family drink
alcohol?
D. I do not know
A. Yes
55. During your life, how many times did you drink so
B. No
much alcohol that you were really drunk?
60. Has anyone in your family discussed with you
A.
0 times
B.
1 or 2 times
the harmful effect of drinking alcohol?
C. 3 to 9 times
A.
Yes
D. 10 or more times
B.
No
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
9
61. How often do your friends drink alcohol?
65. Which one of the drugs listed below have you
used most often? SELECT ONLY ONE
A. Once a week
RESPONSE.
B. 2 or more times per week
C. Once a fortnight
A. I have never tried any of these drugs
D. 2 or more times per fortnight
B. Marijuana
E. Once a year
C. Tranquilisers or sedatives, without a doctor
or nurse telling you to do so
F. 2 or more times per year
D. Amphetamines
62. During this school year, were you taught in any of
your classes the effects of drinking alcohol?
E. Methamphetamine
F. Crack or other forms of cocaine
G. Solvents or inhalants (also called petrol or
A.
Yes
B.
No
glue)
H. Some other drug
C. I do not know
66. During the past 30 days, has anyone offered,
The next 5 questions ask about drugs.
sold, or given you a drug, such as marijuana?
63. During your life, how many times have you used
A. Yes
drugs, such as marijuana?
A.
0 times
B.
1 or 2 times
C. 3 to 9 times
B. No
67. During this school year, were you taught in any
of your classes the dangers of using drugs, such
as marijuana?
D. 10 or more times
A. Yes
64. How old were you when you tried drugs, such as
marijuana, for the first time?
B. No
C. I do not know
A.
I have never tried drugs, such as marijuana
The next 6 questions ask about sexual
B.
7 years old or younger
intercourse.
C. 8 or 9 years old
D. 10 or 11 years old
E.
12 or 13 years old
F.
14 or 15 years old
G. 16 years old or older
68. Have you ever had sexual intercourse?
A.
Yes
B.
No
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
10
69. How old were you when you had sexual
intercourse for the first time?
The next 2 questions ask about physical activity.
Physical activity is any activity that increases
your heart rate and makes you get out of breath
A.
I have never had sexual intercourse
some of the time. Physical activity can be done in
B.
11 years old or younger
sports, playing with friends, or walking to school.
C. 12 years old
Some examples of physical activity are running,
D. 13 years old
fast walking, biking, dancing, football, wrestling,
E.
14 years old
or swimming.
F.
15 years old
G. 16 years old or older
ADD UP ALL THE TIME YOU SPEND IN PHYSICAL
ACTIVITY EACH DAY. DO NOT INCLUDE YOUR
70. During your life, with how many people have you
PHYSICAL EDUCATION OR GYM CLASS.
had sexual intercourse?
74. During the past 7 days, on how many days were
A.
I have never had sexual intercourse
you physically active for a total of at least 60
B.
1 person
minutes per day?
C. 2 people
D. 3 people
A.
0 days
E.
4 people
B.
1 day
F.
5 people
C. 2 days
G. 6 or more people
71. During the past 12 months, have you had sexual
intercourse?
D. 3 days
E.
4 days
F.
5 days
G. 6 days
H. 7 days
A.
Yes
B.
No
75. During a typical or usual week, on how many
days are you physically active for a total of at
72. The last time you had sexual intercourse, did
least 60 minutes per day?
you or your partner use a condom or rubber?
A.
0 days
1 day
A.
I have never had sexual intercourse
B.
B.
Yes
C. 2 days
C. No
73. During this school year, were you taught in any
of your classes about sexual health?
D. 3 days
E.
4 days
F.
5 days
G. 6 days
H. 7 days
A.
Yes
B.
No
C. I do not know
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
11
The next question asks about the time you spend
The next 5 questions ask about your experiences
mostly sitting when you are not in school or doing
at school and at home.
homework.
79. During the past 30 days, on how many days did
76. How much time do you spend during a typical or
you miss classes or school without permission?
usual day sitting and watching television, playing
computer games, talking with friends, or doing
A.
0 days
other sitting activities, such as playing cards or
B.
1 or 2 days
bingo?
C. 3 to 5 days
D. 6 to 9 days
A.
Less than 1 hour per day
B.
1 to 2 hours per day
E.
10 or more days
C. 3 to 4 hours per day
80. During the past 30 days, how often were most of
D. 5 to 6 hours per day
the students in your school kind and helpful?
E.
7 to 8 hours per day
F.
More than 8 hours per day
A.
Never
B.
Rarely
The next 2 questions ask about going to and
C. Sometimes
coming home from school.
D. Most of the time
E.
Always
77. During the past 7 days, on how many days did
you walk or ride a bicycle to and from school?
81. During the past 30 days, how often did your
parents or guardians check to see if your
A.
0 days
B.
1 day
homework was done?
C. 2 days
A.
Never
D. 3 days
B.
Rarely
E.
4 days
C. Sometimes
F.
5 days
D. Most of the time
G. 6 days
E.
Always
H. 7 days
82. During the past 30 days, how often did your
78. During the past 7 days, how long did it usually
take for you to get to and from school each day?
parents or guardians understand your problems
and worries?
ADD UP THE TIME YOU SPEND GOING TO
AND COMING HOME FROM SCHOOL.
A.
Never
B.
Rarely
A.
Less than 10 minutes per day
C. Sometimes
B.
10 to 19 minutes per day
D. Most of the time
C. 20 to 29 minutes per day
E.
Always
D. 30 to 39 minutes per day
E.
40 to 49 minutes per day
F.
50 to 59 minutes per day
G. 60 or more minutes per day
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
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83. During the past 30 days, how often did your
parents or guardians really know what you were
doing with your free time?
A.
Never
B.
Rarely
C. Sometimes
D. Most of the time
E.
Always
Nauru GSHS Questionnaire – 2008
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: August 4, 2008
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